STAFFORD PRIMARY CARE ASSOCIATES, INC. (NPI# 1871522177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871522177 |
| Entity Type | Organization |
| Organization Name | STAFFORD PRIMARY CARE ASSOCIATES, INC. |
| Practice Address |
422 Garrisonville Rd Suite 111 Stafford VA 22554-1573 |
| Mailing Address |
Po Box 249 Garrisonville VA 22463-0249 |
| Practice Telephone | 5406579441 |
| Practice Fax Number | 5406574366 |
| Mailing Telephone | 5406579633 |
| Mailing Fax Number | 5406575925 |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KELL R. HOOVLER (PRESIDENT, CEO) |
| Authorized Official Telephone | 5406579633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
422 GARRISONVILLE RD SUITE 111 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-1573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629074331 | Dennis L. Fair | Physician Assistant | 422 Garrisonville Rd, Ste 111, Stafford, VA 22554-1573 | 2005-06-27 |
| 1114473741 | Eunice N Esunge | Nurse Practitioner | 422 Garrisonville Rd, Suite 101, Stafford, VA 22554-1573 | 2016-09-01 |
| 1295288389 | Susanna P Agble | Nurse Practitioner | 422 Garrisonville Rd, Suite 101, Stafford, VA 22554-1573 | 2016-07-26 |
| 1932515509 | Community Alternatives Virginia, Inc. | Community/Behavioral Health | 422 Garrisonville Rd, Suite 107, Stafford, VA 22554-1573 | 2014-07-03 |
| 1235448796 | Natalie Reck Cooksey | Nurse Practitioner | 422 Garrisonville Rd, Suite 101, Stafford, VA 22554-1573 | 2010-10-01 |
| 1255548467 | Tania C Baltes | Physical Therapist | 422 Garrisonville Rd, Stafford, VA 22554-1573 | 2007-05-17 |
| 1376645275 | Diana J Ortman | Physician Assistant | 422 Garrisonville Rd, Suite 111, Stafford, VA 22554-1573 | 2006-09-01 |
| 1972538817 | Internal Medicine of Stafford | Internal Medicine | 422 Garrisonville Rd, Suite 108, Stafford, VA 22554-1573 | 2006-07-11 |
| 1477582773 | Stafford Urgent Care, Inc. | Clinic/Center | 422 Garrisonville Rd, Ste. 111, Stafford, VA 22554-1573 | 2006-07-01 |
| 1801838529 | Stafford Internal Medical Services, Inc. | Family Medicine | 422 Garrisonville Rd, Suite 108, Stafford, VA 22554-1573 | 2006-06-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
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| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154732535 | Pre Diabetes Physician Services Inc | Specialist | 12603 Southwest Fwy Ste 600, Stafford, TX 77477-3838 | 2014-05-19 |
| 1386063691 | Eleonora Caroline Habnit Wright | Specialist | 9 Lake View Ter, Stafford, VA 22556-1804 | 2014-04-15 |
| 1841616281 | Stefanie R Roetzer | Specialist | 9024 Roanoke Rd, Stafford, NY 14143-9524 | 2014-03-10 |
| 1205061025 | Megan E Hubbard | Specialist | 6 Marquis Ct, Stafford, VA 22554-8818 | 2009-05-22 |
| 1821231523 | Janis King | Specialist | 803 Robins Way, Stafford, TX 77477-5838 | 2009-04-09 |
| 1316018781 | Primary and Urgent Care LLC | Specialist | 231 Garrisonville Rd, Suite 101, Stafford, VA 22554-1527 | 2006-11-10 |
| 1104895226 | Brian Peter Jennings | Specialist | 11 Hope Rd, #2`3, Stafford, VA 22554-7202 | 2006-03-14 |
| 1891783551 | Michael Cohen | Specialist | 24 Onville Rd, Suite 205, Stafford, VA 22556-3831 | 2005-10-07 |
| 1891788444 | Karen Elaine Wood | Specialist | 4915 S Main St, Suite 106, Stafford, TX 77477-4601 | 2005-08-30 |
| 1598218091 | Ellen Anne Schaefer | Specialist | 31 Stafford Ave, Stafford, VA 22554-7246 | 2016-08-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.